Worker Interview - DSA

Worker Interview

General Information

Project Name: Washington High School - HISD

Prime Contractor: Prime Contractors Inc

Subcontrctor: The Theut Company LLC

Interview Detail

Date

Worker Name

Auditor Name

Remarks

06/05/2018 04:46 PM

Tyler Gardener

Victor Bowen

none

ethnicity

gender

ssn

badge

White

Male

=CHAR(048)&300

No

Job Classification

Union Member?

Apprentice?

Period

Glaziers

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

05/31/2018

06/04/2018

8.00

15.60

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Tape Measure

Level

none

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

8.00

Other Work?

Other Training?

Experience

Certifications

none

none

6.00

fork/boom/scissor

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature